Bedert Maarten, Moody Kevin, de Wit John, Nieuwkerk Pythia, van der Valk Marc
Division of Infectious Diseases, Amsterdam Infection and Immunity Institute, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, the Netherlands.
Department of Interdisciplinary Social Science, Utrecht University, Utrecht, the Netherlands.
J Int Assoc Provid AIDS Care. 2025 Jan-Dec;24:23259582251372442. doi: 10.1177/23259582251372442. Epub 2025 Sep 4.
BackgroundPeer support is an important intervention to achieve increased quality of life for people with HIV. We set out to understand the perceptions and experiences of HIV nurses with peer support in the Netherlands.MethodsWe conducted 21 semi-structured interviews which were analysed using thematic analysis.ResultsRegarding referral to peer support services, we found that nurses favoured patients with the larger presumed burden of living with HIV. Nurses identified logistical and personal barriers with referrals: additional workload, lack of belief in peer support programs, concerns about the impact on their patients because of earlier unfavourable experiences with peer support. Patients are often considered not being ready for peer support and are fearful of unwanted disclosure by others. A good personal connection with peers and having peers in active care facilitated linkage to peer support by increasing visibility and proximity.ConclusionsWe suggest that closer integration of peer support into formal care is a possible solution to the existing barriers.
背景
同伴支持是提高艾滋病毒感染者生活质量的一项重要干预措施。我们着手了解荷兰艾滋病毒护士对同伴支持的看法和经历。
方法
我们进行了21次半结构化访谈，并采用主题分析法进行分析。
结果
关于转介到同伴支持服务，我们发现护士倾向于假定感染艾滋病毒负担较重的患者。护士们指出了转介存在的后勤和个人障碍：额外的工作量、对同伴支持项目缺乏信心、因早期同伴支持的不良经历而担心对患者产生影响。患者通常被认为还没有准备好接受同伴支持，并且担心被他人意外披露信息。与同伴建立良好的个人联系以及有正在接受积极治疗的同伴，通过提高可见度和亲近度促进了与同伴支持的联系。
结论
我们建议将同伴支持更紧密地融入正规护理是解决现有障碍的一个可能办法。
